Abstract
Usually, cutaneous wound healing does not get impeded and processes uneventfully, reaching wound closure easily. The goal of this repair process is to restore the integrity of the body surface by creating a resilient and stable scar. Surgical practice and strategies have an impact on the course of wound healing and the later appearance of the scar. By considering elementary surgical principles, such as the appropriate suture material, suture technique, and timing, optimal conditions for wound healing can be created. Wounds can be differentiated into clean wounds, clean–contaminated wounds, contaminated, and infected/dirty wounds, based on the degree of colonization or infection. Furthermore, a distinction is made between acute and chronic wounds. The latter are wounds that persist for longer than 4–6 weeks. Care should be taken to avoid surgical site infections in the management of wounds by maintaining sterile working conditions, using antimicrobial working techniques, and implementing the principles of preoperative antibiotics. Successful wound closure is influenced by wound debridement. Wound debridement removes necrotic tissue, senescent and non-migratory cells, bacteria, and foreign bodies that impede wound healing. Additionally, the reconstructive ladder is a viable and partially overlapping treatment algorithm in plastic surgery to achieve successful wound closure.
Highlights
Systemic pre-operative antibiotic prophylaxis is recommended for clean-contaminated, contaminated, and dirty surgical sites of the head, neck, the upper limb, the hands, the skin, and for rhinoplasty
After multiple NPWT treatments and failure of sole skin grafts as well as modern flaps, this approach to increase the chances of wound healing can be a combination of split-thickness skin grafts (STSG) with the technique of buried skin grafts (BSG)
InSurgery order to toinreach reach successful wound closure, thorough understanding of the the mechmechorder aa successful thorough understanding of future study to better understand the advantage of this technique would be desirable
Summary
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. Wound healing, defined as the cycle of tissue damage repair, is a process that everyone goes through repeatedly throughout their lives. Cutaneous wound healing does not get impeded and processes uneventfully, reaching wound closure [1,2]. It is a perfectly timed process consisting of a complex collaboration of multiple cell strains and their products. At the bio-physiological level, the healing process begins with the formation of the wound and proceeds in three phases that occur both sequentially and overlap: inflammation, granulation, and remodeling of the scar [3]. Different books dealing with wound treatment and defect reconstruction as well as the electronic database Pubmed were used for the literature research
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